Patrick Dionise, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901600136 Issued in MI

Practice address

610 S Grand Ave
Lansing, MI 48933-2407

Phone

(517) 648-3663

NPI assigned

Jun 6, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1528627247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489332407",
            "telephone_number": "989-742-4583",
            "fax_number": "989-742-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S GRAND AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489332407",
            "telephone_number": "517-648-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11899 M 32",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "MI",
            "postal_code": "497099374",
            "country_code": "US",
            "telephone_number": "989-785-4855",
            "fax_number": "989-785-2267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21258 M 68 Hwy",
            "address_purpose": "LOCATION",
            "city": "Onaway",
            "state": "MI",
            "postal_code": "497659692",
            "country_code": "US",
            "telephone_number": "989-733-2082",
            "fax_number": "989-733-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIONISE",
        "first_name": "PATRICK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Dinkins, RN, EMT
• Therese Marie Dion, MA, LLPC
• Dionise Dental
• Michael J Dionise, DDS
• Nina Sophia Dionise
• Colette Michele Diotte, M.A. CCC-SLP
• Stephanie Diponio, LLMSW
• Jacqueline Elizabeth Dippre
• Denise Disbrow, PTA
• Emily Anne Disbrow, M.D.

• Dentist in Lansing, MI
• Providers in Lansing, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.